title: Management issues during HeartWare left ventricular assist device implantation and the role of transesophageal echocardiography.
abstract: Left ventricular assist devices (LVAD) are increasingly used for mechanical circulatory support of patients with severe heart failure, primarily as a bridge to heart transplantation. Transesophageal echocardiography (TEE) plays a major role in the clinical decision making during insertion of the devices and in the post-operative management of these patients. The detection of structural and device-related mechanical abnormalities is critical for optimal functioning of assist device. In this review article, we describe the usefulness of TEE for optimal perioperative management of patients presenting for HeartWare LVAD insertion.
authors.affiliation: Department of Cardiothoracic Anaesthesia, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom.
authors.forename: Sanjay Orathi
authors.initials: SO
authors.lastname: Patangi
authors.forename: Anthony
authors.initials: A
authors.lastname: George
authors.forename: Henning
authors.initials: H
authors.lastname: Pauli
authors.forename: Denis
authors.initials: D
authors.lastname: O'Leary
authors.forename: Chandrika
authors.initials: C
authors.lastname: Roysam
authors.forename: Tanveer
authors.initials: T
authors.lastname: Butt
authors.forename: Stephan
authors.initials: S
authors.lastname: Schueler
authors.forename: Mahesh
authors.initials: M
authors.lastname: Prabhu
authors.forename: Guy
authors.initials: G
authors.lastname: MacGowan
mesh_terms: D001022:Aortic Valve Insufficiency / Q000503:physiopathology; D057785:Catheters; D017548:Echocardiography, Transesophageal; D054092:Foramen Ovale, Patent / Q000503:physiopathology; D006353:Heart-Assist Devices; D006801:Humans; D014262:Tricuspid Valve Insufficiency / Q000503:physiopathology; D016278:Ventricular Function, Right